Care Coordination Professional

1 week ago


Pagadian, Zamboanga Peninsula, Philippines beBeeCollaboration Full time ₱2,900,000 - ₱3,700,000
Medical Billing Specialist Job Description

This role involves monitoring medical claims, investigating rejections and denials, and documenting account activities. The position requires a deep understanding of eligibility requirements, payment methodologies, and the ability to record contractual adjustments in compliance with government regulations.

Responsibilities:
  • Verify patient coverage and ensure accurate benefits information.
  • Submit claims in a timely and compliant manner.
  • Obtain prior authorizations for smooth claim approvals.
  • Monitor claim status and conduct follow-up for prompt payment.
  • Research and resolve claim rejections and denials.
  • Generate and submit patient statements.
  • Document all account activities accurately.
  • Manage collections from various payers.
Requirements:
  • At least 2 years of experience in revenue cycle processes, including eligibility verification, charge review, claims submission, AR follow-up, denial management, and collections.
  • Experience in DME and using Apero is preferred.
  • Candidates must demonstrate collaboration skills and work well in a fast-paced environment.
  • Excellent customer service skills are necessary.


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